Provider Demographics
NPI:1902877673
Name:QAMAR, KENON S (MD)
Entity Type:Individual
Prefix:
First Name:KENON
Middle Name:S
Last Name:QAMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8551 BLUEJACKET ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1656
Mailing Address - Country:US
Mailing Address - Phone:913-341-7985
Mailing Address - Fax:913-341-7988
Practice Address - Street 1:10701 NALL AVE STE 100
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1244
Practice Address - Country:US
Practice Address - Phone:913-647-4168
Practice Address - Fax:913-647-4172
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO1182952085R0001X
KS04264432085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1902877673Medicaid
KS200373560CMedicaid
KS200373560DMedicaid
KS200373560GMedicaid
KS068002434Medicare PIN
MOMA3347021Medicare PIN
KSK40000067Medicare PIN
KS200373560CMedicaid
MOP01057066Medicare PIN